NPIMap

Organization Active NPI

Dr. Ben Pittman LLC

Doing business as Back to Life Health Center

  • Chiropractor
  • Sherwood, AR
National Provider Identifier
1841734225
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15634 Issued in AR
Legal business name
DR. BEN PITTMAN LLC
Doing business as
Back to Life Health Center
Practice address
2116 E Kiehl Ave
Sherwood, AR 72120-3130
Phone
(501) 834-2060
Fax
(501) 834-2762
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ben Pittman, D.C.NPI 1659502482
Title
Owner
Phone
(501) 786-3132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15634 AR Primary

Addresses

Primary practice location

2116 E Kiehl Ave
Sherwood, AR 72120-3130

Mailing address

2116 E Kiehl Ave
Sherwood, AR 72120-3130
Phone (501) 834-2060

Other names 1

  • Back to Life Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170426001607 AR Part B Supplier - Clinic/Group Practice 2163709320 Receives reassigned benefits from 2 practitioners
Practice locations: Sherwood, AR

National Provider Directory

National Provider Directory

Locations

2116 E Kiehl Ave
Sherwood, AR 72120
Phone (501) 834-2060

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1841734225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203130",
            "telephone_number": "501-834-2060",
            "fax_number": "501-834-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203130",
            "telephone_number": "501-834-2060",
            "fax_number": "501-834-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BEN PITTMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-786-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Life Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.